ABSTRACT
ObjectiveTo observe the therapeutic effect of early postoperative comprehensive rehabilitation on elbow joint dysfunction and ulnar nerve injury in children and adolecents with supracondylar fracture of humerus complicated with ulnar nerve injury. MethodsA total of 49 children with supracondylar fracture of humerus complicated with ulnar nerve injury after operation were selected from January, 2016 to December, 2021 in Wangjing Hospital, which were randomly divided into control group (n = 24) and treatment group (n = 25). The control group accepted wax therapy and acupuncture, and the treatment group accepted medicine fumigation, joint mobilization and electromyographic biofeedback, for twelve weeks. They were assessed with The Hospital for Special Surgery Elbow score (HSS) and Medical Research Neurotrauma Society Report (MCRR) before and after treatment. ResultsAfter treatent, the HSS scores increased in both groups (|t| > 8.345, P < 0.001). The HSS score was significantly higher in the treatment group than in the control group (t = 4.536, P < 0.001). The d-value of HSS scores before and after treatment was significantly higher in the treatment group than in the control group (t = 3.717, P < 0.05). The rate of excellent recovery of ulnar nerve function was significantly higher in the treatment group than in the control group (χ2 = 5.975, P < 0.05). ConclusionEarly postoperative comprehensive rehabilitation could romote the recovery of elbow function and ulnar nerve injury in children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury.
ABSTRACT
Objective To design a new correction device for elbow deformity with active orthopedic force based on Ilizarov technique, and discuss its curative effect on elbow orthotics in clinic. Methods A total of 44 patients with elbow joint dysfunction were randomly divided into treatment group (n=22) and control group (n=22), and treated with new deformity orthotic device and continuous positive motion, respectively. The functional recovery of the elbow joint for patients in two groups was evaluated after 3-month treatment. Results The range of motion (ROM) of elbow flexion-extension in treatment group was significantly larger than that in control group, and the effective rate for treatment group and control group was 90.91% and 81.82%, respectively. Conclusions The use of such correction device for elbow deformity showed good curative effect for treating elbow joint dysfunction, which is worth popularization and application in clinic．